| NPI | 1104369842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE OS14132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL DO.1976) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2020-05-05 |